Mhlawumbi ungumdlali wezemidlalo. Ngaba wakha wajika idolo lakho ngequbuliso ngelixa ubaleka okanye utsiba waza waziva iintlungu eziqatha? Okanye, ngelixa usenza umsebenzi oqhelekileyo, ngaba wakha waziva isandi 'sokuqhekeka' xa idolo lakho lijijekile? Ngoku idolo lakho lidumbile, alikwazi ukugoba okanye ukululama, kwaye livakala ngathi linamathele ngaphakathi? Isizathu esiphambili sezi zinto sinokuba kukonakala kwenxalenye ye-cartilage engaphakathi kwedolo lakho ebizwa ngokuba yi-'Meniscus'. Ngoko ke namhlanje, masithethe ngale nto kunye notyando olwenziwayo ngenxa yayo.
Ngamafutshane, yintoni utyando lwe-meniscus?
Kulungile, masiqale sijonge ukuba yintoni i-meniscus. Cinga ngedolo lethu. Phakathi kwethambo lethanga (i-Femur) phezulu kunye nethambo le-shin (i-Tibia) ezantsi, kukho iziqwenga ezibini ze-cartilage ezifana nomqamelo, okwimo yonobumba u-'C'. Yiloo nto siyibiza ngokuba yi-meniscus. Njenge-'shock absorber' emotweni, le nto ifunxa uxinzelelo oluza kwilungu xa sihamba, sibaleka, kwaye sitsiba, igcina ilungu lizinzile kwaye inceda amathambo amabini ukuba ahambe kakuhle ngaphandle kokungqubana.
Ngoko ke, xa le meniscus ikrazukile, iintlungu eziqatha edolweni, ukudumba, ukutshixa kwamadolo, kunye nokungazinzi okanye ukuphelelwa ngamandla kunokubakho. Ukuba imeko ayiphucuki ngamayeza, ukuphumla, kunye nonyango lomzimba, ugqirha wakho wamathambo unokucebisa olu tyando. Ngamafutshane, olu tyando lusetyenziselwa ukulungisa inxalenye ekrazukileyo yemeniscus okanye ukususa inxalenye eyonakeleyo.
Ndingazilungiselela njani ngaphambi kotyando?
Kukho amalungiselelo amancinci ngaphambi kotyando. Ugqirha wakho uza kukuchazela ezi zinto.
Uvavanyo oluhlala lufuneka:
Usenokucelwa ukuba wenze olunye okanye ngaphezulu kwezi vavanyo ukuze ujonge impilo yomzimba wakho ngokubanzi.
| Uvavanyo | Kalula nje... |
|---|---|
| Uvavanyo lomzimba | Ugqirha uza kuhlola idolo lakho kunye nempilo yakho iyonke. |
| Uvavanyo lwegazi | Fumanisa izinto ezifana nemeko yegazi kunye nokuba kukho naziphi na izifo. |
| I-EKG (i-Electrocardiogram) | Jonga ukuba intliziyo isebenza kakuhle na. |
| I-X-reyi yesifuba | Jonga imeko yemiphunga nentliziyo. |
| Uvavanyo lwe-X-ray kunye ne-MRI yedolo | I-X-ray ingabonisa ngokucacileyo imeko yamathambo, kwaye i-MRI ingabonisa ngokucacileyo ukukrazuka kwi-meniscus. |
Ezinye izinto ezimbalwa ezibalulekileyo:
- Xelela ugqirha wakho ngayo nayiphi na imithi oyithathayo: Qiniseka ukuba uxelela ugqirha wakho ngayo yonke imithi, iivithamini, kunye nezongezo zezityalo ozithathayo. Usenokucelwa ukuba uyeke ukusebenzisa amayeza athile (ingakumbi amayeza okunciphisa igazi) kangangeentsuku ezimbalwa ngaphambi kotyando.
- Ukuzila Ukutya: Ugqirha wakho uza kukuxelela ukuba kufuneka uyeke ukutya nokusela ixesha elingakanani ngosuku olungaphambi kotyando lwakho. Ngokwesiqhelo, kuya kufuneka uzile ukutya malunga neeyure ezili-12.
- Uthutho: Ekubeni ungayi kukwazi ukuqhuba emva kotyando, kubalulekile ukulungiselela umntu oza kukuyisa ekhaya.
Kwenzeka ntoni ngexesha lotyando?
Ngomhla wotyando lwakho, ingcali yokubulala iintlungu iza kukunika i-anesthesia ukuze ungaziva iintlungu. Usenokunikwa i-anesthesia eqhelekileyo, ekwenza ulale ngokupheleleyo. Okanye unganikwa i-anesthesia yengingqi, evala kuphela indawo engaphantsi kwesinqe. Uza kunikwa i-sedative ukuze ikuncede uphumle.
Olu tyando ludla ngokwenziwa kusetyenziswa indlela ethi 'keyhole'. Oku kuthetha ukuba kwenziwa imingxunya emincinci emininzi eluswini olujikeleze idolo, apho kufakwa khona ikhamera encinci (i-arthroscope) kunye nezixhobo ezithambileyo. Olu tyando silubiza ngokuba yi- knee arthroscopy surgery. Le ndlela ayibandakanyi imingxunya emikhulu kwaye inciphisa ixesha lokuphiliswa.
Kukho iintlobo ezintathu eziphambili zotyando lwe-meniscus.
| Uhlobo lotyando | Wenza ntoni? | Ngubani ofanelekileyo kakhulu? |
|---|---|---|
| Ukulungiswa kweMeniscus | I-meniscus ekrazukileyo ithungwa kunye kusetyenziswa imisonto ekhethekileyo (i-sutures). Ekuhambeni kwexesha, le misonto iyanyibilika emzimbeni. | Le ndlela iyasebenza ukuba ukukrazuka kukwindawo enegazi elineleyo kwaye ukukrazuka akukubi kakhulu. |
| Ukususwa kwenxalenye eyonakeleyo (i-Partial meniscectomy) | Inxalenye eyonakeleyo, ekrazukileyo, neyaphukileyo ye-meniscus iyasikwa ize isuswe, kwaye inxalenye eseleyo ephilileyo iyalungiswa. | Le ndlela isetyenziswa kwiimeko apho ilaphu likrazuke kakhulu kwaye lonakele kangangokuba alinakulungiseka. |
| Ukutshintshwa kweMeniscus | Le yinkqubo engaqhelekanga kakhulu. Ibandakanya ukususa i-meniscus eyonakeleyo ngokupheleleyo kwaye ithathelwe indawo yi-meniscus evela kumntu oswelekileyo (allograft). | Oku kudla ngokuqwalaselwa kubantu abangaphantsi kweminyaka engama-50 ubudala, abane-arthritis edolweni, okanye abonzakele kakhulu kwi-meniscus. |
Kuthatha ixesha elingakanani utyando? Kwenzeka ntoni emva koko?
Utyando lweMeniscus ludla ngokuthatha malunga neyure , kodwa ixesha linokwahluka ngokuxhomekeke kuhlobo lotyando olwenzileyo, ubunzima bokukrazuka, kunye nokuba unezinye izinto ezenzekileyo edolweni (ezifana nokukrazuka kwemisipha).
Le nkqubo idla ngokuba yeyokunyanga ngaphandle kwesibhedlele. Emva kotyando, uza kugcinwa kwigumbi lokuchacha ude uphile ngokupheleleyo kwi-anesthesia, uze emva koko uvunyelwe ukuya ekhaya wakuba uphilile ngokwaneleyo ukuba ubuyele kubomi bakho besiqhelo.
Zithini iingenelo zolu tyando?
- Ukukwazi ukubuyela kwimidlalo okanye eminye imisebenzi yomzimba.
- Ukuphucula ukuhamba kwakho.
- Amadolo aya esiba namandla ngakumbi.
- Iintlungu zedolo kunye nezinye iimpawu ziye zehla okanye zaphela ngokupheleleyo.
Ngaba kukho naziphi na iingozi kunye neengxaki zotyando?
Nangona le yinkqubo ekhuselekileyo nephumelelayo, njengalo naluphi na utyando, kukho iingozi ezithile ezibandakanyekayo. Nangona kunjalo, ezi azixhaphakanga kakhulu.
- Amahlwili egazi
- Ukopha ngaphakathi edolweni lakho
- Iintsholongwane
- Ukonakala kwemithambo-luvo okanye i-neuropathy
- Ukuqina kwedolo nangona emva kokululama
Ingakumbi emva kokuhlinzwa kwe-meniscectomy okungaphelelanga, kunokubakho umngcipheko okhulayo wokuba nesifo samathambo edolweni kuloo dolo kwixesha elizayo, njengoko uxinzelelo kwilungu lusanda kuba inxalenye ye-meniscus ingekho.
Kodwa kubantu abaninzi, iingenelo zotyando zingaphezulu kakhulu kunentlungu yokuphila ne-meniscus ekrazukileyo. Xoxa ngale mingcipheko nogqirha wakho. Uza kuchaza eyona ndlela ilungileyo yokwenza imeko yakho.
Linjani ixesha lokululama?
Le yeyona ngxaki inkulu kubantu abaninzi. Ixesha elithathwayo ukuze uphile ngokupheleleyo liyahluka ngokuxhomekeke kuhlobo lotyando olwenzileyo.
- Ukuba inxalenye eyonakeleyo isusiwe (i-Meniscectomy): Oku kunexesha elifutshane lokuchacha. Ngokwesiqhelo, ungachacha ngokupheleleyo kwiiveki ezimalunga nezi -6 .
- Ukuba i-meniscus ithungiwe (ukulungiswa kwe-Meniscus): Oku kuthatha ixesha elide. Kuba ukongeza ekupholisweni kwenxeba ngotyando, i-meniscus ethungwe ngaphakathi nayo kufuneka iphole. Oku kungathatha malunga neenyanga ezi-3 .
- Ukuba ukhe wafakelwa i-meniscus (ukutshintshwa kwe-Meniscus): Eli lelona xesha lide lokuchacha. Kuthatha iinyanga ezininzi ukuphiliswa ngokupheleleyo. Kusenokufuneka ulinde malunga nonyaka ngaphambi kokuba uqalise imisebenzi enzima yomzimba (njengemidlalo).
Emva kotyando, uya kufuna oku kulandelayo:
- Iintambo zokubopha: Nciphisa ubunzima emadolweni.
- Isixhasi sedolo: Gcina ilungu lizinzile.
- Amayeza eentlungu: Lawula iintlungu.
- Landela indlela ye-RICE: Ukuphumla, Umkhenkce, Uxinzelelo, kunye noKuphakama.
- Unyango Lomzimba (PT):Oku kubalulekile ngokwenene. Ingcali yakho yezonyango iza kukufundisa imithambo yokukunceda ufumane intshukumo, uluhlu lokuhamba, kunye namandla edolweni lakho.
Ndiza kukwazi nini ukuhamba kwakhona? Injani intlungu?
Ukuba ukhe wasuswa i-meniscus (meniscectomy), uya kukwazi ukuhamba unobunzima edolweni lakho ngoko nangoko. Uya kukwazi ukubuyela kwimisebenzi yakho yesiqhelo kwisithuba senyanga.
Ukuba i-meniscus ithungwe okanye ifakelwe, kuya kufuneka usebenzise iintonga kangangeeveki ezimbalwa. Kulapho ke onokuqala khona ukuhamba kancinci kancinci ngemithwalo enzima.
Kuqhelekile ukuba uzive iintlungu kangangeentsuku ezimbalwa emva kotyando. Ungakhathazeki. Ugqirha wakho uza kukunika amayeza entlungu. Unganikwa amayeza afana ne-NSAIDs. Kubalulekile ukuthatha amayeza kanye njengoko ugqirha wakho ekuxelele.
Ngaba idolo lam liza kufana emva kotyando?
Uninzi lwabantu lunokubuyela kwimisebenzi yalo yesiqhelo (kuquka nemidlalo) emva kokuchacha. Nangona kunjalo, musa ukuqala ukuzilolonga okunzima de ugqirha wakho akunike ithuba.
Ngamanye amaxesha, nangona umzimba wakho uphola, usenokoyika kancinci. "Ngaba kukho into eyenzeka edolweni lakho kwakhona?" Ingakumbi ukuba bekuyingozi yezemidlalo, olo loyiko lukhulu ngakumbi. Oku kuqhelekile kakhulu. Thetha nogqirha wakho okanye ingcali yezonyango malunga noko kusengqondweni yakho. Banokukunceda wakhe ukuzithemba kwakhona.
Ufanele uthethe nini nogqirha?
Ukuba ufumana naluphi na uvakalelo olungathandekiyo ngexesha lokuchacha kwakho, kufuneka ufune ingcebiso kagqirha ngoko nangoko. Qaphela ngakumbi ezi mpawu zilandelayo.
| Isilumkiso | Inkcazo |
|---|---|
| Ifiva | Ukuba ubushushu bomzimba bungaphezulu kwe-101 Fahrenheit (38 Celsius). |
| Ukukhupha amanzi enxebeni | Ukuba inxeba liphuma igazi elininzi, okanye ukuba kukho ulwelo olunuka kakubi njengobovu. |
| Intlungu okanye ukudumba okungapheliyo | Ukuba intlungu okanye ukudumba akupheli nangona uphumle kwaye uphakamisa umlenze. |
| Ubunzima bokuphefumla | Ukuba ufumana ubunzima bokuphefumla, yiya kwiSebe leNgxamiseko (i-ETU) ngokukhawuleza kwisibhedlele esikufutshane. |
Utyando lweMeniscus lunokuba yinto eyoyikisayo. Nangona kunjalo, yindlela ekhuselekileyo nesebenzayo yokulungisa umonakalo edolweni lakho, ukukubuyisela ezinyaweni zakho, nokubuyela kwimisebenzi yakho yesiqhelo. Kusenokufuneka uhlale kude nemidlalo nokuzilolonga okwethutyana. Kodwa ukuba uphila kakuhle, ungabuyela ekwenzeni ezo zinto ngamandla.
Umyalezo Wokuya Ekhaya
- Utyando lweMeniscus lunyango olusebenzayo kakhulu kwiintlungu, ukuqina kwamadolo, kunye nokungazinzi okubangelwa yimeniscus ekrazukileyo.
- Ixesha lokuchacha liya kwahluka ngokuxhomekeke kuhlobo lotyando olwenzileyo (ukulungiswa okanye ukususwa okuncinci).
- Unyango lomzimba lubalulekile ukuze kubuyiselwe ngokupheleleyo kwaye kuqiniswe idolo.
- Landela imiyalelo kagqirha wakho ngononophelo emva kotyando. Ukuba ufumanisa naziphi na iimpawu eziyingozi ezifana nomkhuhlane, iintlungu ezigqithisileyo, okanye ukudumba, yazisa ugqirha wakho ngoko nangoko.
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